Evaluating the impact of stress reduction interventions as supportive approach in patients with depressive disorder
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20250954Keywords:
Depressive disorder, Stress reduction interventions, Supportive approachAbstract
Depressive disorder is widely recognized as a significant global health challenge, impacting 350 million people worldwide. Stress reduction interventions have emerged as an essential nonpharmacological approach to managing depression, complementing pharmacological treatments. This review examines how stress reduction interventions can reduce stress and depression severity among patients with depressive disorder. A wide-ranging electronic literature search identified studies that satisfied the predefined criteria using PubMed, Medline, Google Scholar and Cochrane Library. Key findings from the majority of the studies indicate relaxation techniques interventions, yoga interventions, cognitive behavioural therapy, complementary therapies, self-awareness interventions and mindfulness as predominant therapeutic strategies in the reduction of stress and depression. These interventions also improved quality of life, social adaptability, resilience and reduced anxiety. Practicing stress reduction interventions might be a useful element of multi-component treatment modalities in a patient with depressive disorder. Further research is needed to expand its application in multimodal stress reduction interventions and incorporate them into clinical practice to enhance outcomes for patients with depression.
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References
Townsend M. Essential of psychiatric mental health nursing, concept of care in evidence-based practice. 4th ed., Davis company, Philadelphia. 2008: 335-36.
Mathers CD, Loncar D. Projections of global mortality and burden of disease from 2002 to 2030. PLoS Med. 2006;3(11):442. DOI: https://doi.org/10.1371/journal.pmed.0030442
Friedrich M. Depression Is the Leading Cause of Disability Around the World. JAMA. 2017;317(15):1517. DOI: https://doi.org/10.1001/jama.2017.3826
World Health Organization 2012. Depression A Global Public Health Concern. Depression: A Global Crisis World Mental Health Day, October 10 2012. depression A Global Public Health Concern. Available at https://www.who.int/mental_health. Assessed on 02 April 2023.
Moitra M, Santomauro D, Collins PY, Vos T, Whiteford H, Saxena S, et al. The global gap in treatment coverage for major depressive disorder in 84 countries from 2000–2019: A systematic review and Bayesian meta-regression analysis. PLoS Med. 2022;19(2):1003901. DOI: https://doi.org/10.1371/journal.pmed.1003901
Arvind BA, Gururaj G, Loganathan S NMHS collaborators group. Prevalence and socioeconomic impact of depressive disorders in India: multisite population-based cross-sectional study. BMJ Open. 2019;9:27250. DOI: https://doi.org/10.1136/bmjopen-2018-027250
Qin, Dong-Dong. Prolonged secretion of cortisol as a possible mechanism underlying stress and depressive Sci Rep. 2016;6:30187. DOI: https://doi.org/10.1038/srep30187
Hammen, Constance. “Stress and depression.” Ann Rew of Clin Psychol. 2005;1:293-319. DOI: https://doi.org/10.1146/annurev.clinpsy.1.102803.143938
Monroe SM, Harkness KL. Life stress, the "kindling" hypothesis and the recurrence of depression: considerations from a life stress perspective. Psychol Rev. 2005;112(2):417–45. DOI: https://doi.org/10.1037/0033-295X.112.2.417
World Health Organisation. Contributing factors and prevention. 2021 Available at https://www.who.int/new. Assessed on 07 March 2013.
Anderson, Heather D. Rates of 5 common antidepressant side effects among new adult and adolescent cases of depression: a retrospective US claims study. Clinical therapeutics. 2012;34(1):113-23. DOI: https://doi.org/10.1016/j.clinthera.2011.11.024
Merfat. M. Atia, Lobna E. Sallam. The effectiveness of mindfulness training techniques on stress, anxiety and depression of depressed patient. American J Nurs Res. 2020;8(1):103-13. DOI: https://doi.org/10.12691/ajnr-8-1-11
Bressington D, Mui J, Yu C, Leung SF, Cheung K, Wu CS, Bollard M, Chien WT. Feasibility of a group-based laughter yoga intervention as an adjunctive treatment for residual symptoms of depression, anxiety and stress in people with depression. J Affec Disord. 2019;248:42-51. DOI: https://doi.org/10.1016/j.jad.2019.01.030
Amsavahini. M. A study to assess the effectiveness of psychiatric nurse-initiated complementary therapy on stress and sleep deprivation among depressive clients attending outpatient department at the psychiatric tertiary care center, Chennai. The Tamilnadu Dr.M.G.R. Medical University, Chennai. 2020. Assessed on 05 April 2023.
M. I. El Malky, M. M. Atia, S. H. El-Amrosy. The effectiveness of stress management programme on depression, stress and anxiety of depressed patients. J Nurs Sci. 2015;2(1):15-24.
Seshadri A, Clark MM, Kung S, Fuller-Tyszkiewicz M, Sood A, Dammen KC, et al. Feasibility Study of Stress Management and Resiliency Training (SMART) in Patients With Major Depressive Disorder. Prim Care Companion CNS Disord.. 2020;22(3):2556. DOI: https://doi.org/10.4088/PCC.19m02556
Ibrahim FM, Adam SS. The Effect of Cognitive Behavioral Nursing Intervention on Cognitive Distortions and Self-Efficacy among Patients with First Episode Major Depressive Disorder. Egyptian Journal of Health Care. 2017;8(4):286-304. DOI: https://doi.org/10.21608/ejhc.2017.110404
Psarraki, Evgenia E. The effects of Pythagorean Self-Awareness Intervention on patients with major depressive disorder: A pilot randomized controlled trial. J Psychiatr Res. 2021;138:326-34. DOI: https://doi.org/10.1016/j.jpsychires.2021.03.067
Abbasian F, Najimi A, Meftagh SD, Ghasemi G, Afshar H.. The effect of stress management training on stress and depression in women with depression disorders: Using cognitive-behavioral techniques. J Educ Health Promot. 2014;3:70. DOI: https://doi.org/10.4103/2277-9531.134819
Gaewlai P, Vallibhakara SA, Perkins KM, Chantra M, Jaitieng N, Sephu S, et al. Comparative effectiveness of active group music therapy in major depressive disorder compared to standard group psychotherapy: a randomized controlled trial. J Med Assoc Thai. 2018;101:529-35.
Gerber M, Imboden C, Beck J. Effects of aerobic exercise on cortisol stress reactivity in response to the trier social stress test in inpatients with major depressive disorders: a randomized controlled trial. J Clin Med. 2020;9(5):1419. DOI: https://doi.org/10.3390/jcm9051419
Vollbehr NK, Hoenders HJR, Bartels-Velthuis AA, Nauta MH, Castelein S, Schroevers MJ, et al. Mindful yoga intervention as add-on to treatment as usual for young women with major depressive disorder: Results from a randomized controlled trial. J Consult Clin Psychol. 2022;90(12):925-41. DOI: https://doi.org/10.1037/ccp0000777
Knorr U, Vinberg M, Kessing LV, Wetterslev J. Salivary cortisol in depressed patients versus control persons: a systematic review and meta-analysis. Psychoneuroendocrinology. 2010:35(9):1275–86. DOI: https://doi.org/10.1016/j.psyneuen.2010.04.001
Lopresti AL, Hood SD, Drummond PD. A review of lifestyle factors that contribute to important pathways associated with major depression: diet, sleep and exercise. J Affect Disord. 2013;148(1):12–27. DOI: https://doi.org/10.1016/j.jad.2013.01.014
Klainin-Yobas P, Oo WN, Suzanne Yew PY, Lau Y. Effects of relaxation interventions on depression and anxiety among older adults: a systematic review. Aging & mental health. 2015;19(12):1043-55. DOI: https://doi.org/10.1080/13607863.2014.997191